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HomeMy WebLinkAbout2015-00406 - mechanical CITY OF ORONO * Z 0 1 5 - PJ 0 4 PJ 6 * 2750 KELLEY PARKWAY DATE ISSUED: 04/09/2015 ORONO, MN 55356- 952 249-4600 FAX: 952 249-4616 ADDRESS : 675 SANDSTONE CIR PIN : 33-118-23-i1-0040 LEGAL DESC : STONEBAY : LOT 037 BLOCK 001 PERMIT TYPE : MECHANICAL(>$500) PROPERTY TYPE : RESIDENTIAL CONSTRUCTI01�1 TYPE : FIXTURES- MULTIPLE VALUATION : $ 7,500.00 NOTE: 1 HEATING, 1 COOL[NG,3 BATH EXHAUSTS, I LAUNDRY FAN APPLICANT MECHANICAL 93.75 STATE SURCHARGE MECH(VALUATION) 3.75 WESTAIR HEATING MAIL-IN FEE 2.00 11184 RIVER ROAD NE HANOVER, MN 55341 TOTAL 99.50 (763)498-8071 Payment(s) Minnesota State License#: mech-MB003525 CHECK 19313 99.50 OWNER Stonebay Builders LLC 14870 BROCKTON LANE DAYTON,MN 55327- AGREEMENT AIYD SWORN STATEMENT The work for which this permit is issued shall be performed according to the approved plans and specifications,applicable City approvals,and the State Building Code. This permit is for only the work described and does not grant permission for additional or related work which requires separate permits. All provisions of laws and ordinances governing this type of work shall be compied with whether or not specified herein.This permit will expire and become null and void if construction authorized is not commenced within I80 days of the date of issuance,or if construction is suspended for a period of 180 days at any time afrer work has commenced. The applicant is responsible for assuring all required inspec[ions are requested in conformance with the State Building Code.This permit may be revoked at any time for due cause. 1 y�L� f' /� i�� � � � U � � / �� / Applicant Permitee Signature Date Issued By ignature Date � - - ��(�i�j� � � F�K(' Y IJSE ONLY (''� City of Orono ±.�'.,� ry C G`��� � ��✓�� P.O.Box 66 Date Receic ed. �� �t�i'ermit# L-�'�'- � 2750 Kelley Parkway � f� s' Crystal Bay,NIN 55323 Appro>>ed B}�: __t_-bL,�1_ Amount$:.�� Phone(952)249-4600 Fax(952)249-4616 � `� ��' `� � � � �� `� w�' CITY OF ORONO—MECHANICAL PERMIT ' ( �'qk�$�{O� (All Commercial permits must be approved by the Building Ofticial or Inspector and/or Fire Mazshall) GENERAL INFORMt�.TIOI*T L You may apply for mechanical permits by mail or in person at the City offices. Applications will be reviewed and a permit will be issued within two working days. 2. Permit cards will be sent by return mail after a review is completed. PERMITS ARE NOT VALID UNTIL YOU RECEIVE A PERMIT. WORK MUST NOT BEGIN UNTIL THE PERMIT CARD IS POSTED ON THE JOB S1TE. 3. Mechanical Desi�ns—Complete calculations,details and specifications are required for each heating,ventilation,humidification-dehumidification,and air conditioning installation including heat loss/heat gain calculation,design temperatures,equipment ratings and identification as to type,manufacturer and model. Data shall be presented on form provided. 4. When any new construction or remodeling is involved,a separate building permit must be obtained. 5. All work must be done in accordance with the Uniform Mechanical Code/State Building Code requirements. 6. All work must be inspected(rough-in and final). Call(952)249-4600. (24-48 hour notice required) 7. House Heating Test Record must be submitted before final. TYPE OF PERIVIIT (Check All That Apply) . Residential ❑Commercial(Approval Required) �New ❑Additional ❑Repairs ❑Replace Job���Site/�Owner�Information: �� � Site Address: _�Q�� ����s��.��'�,�-� Owner: ��1 " � . _ Mailing Address: 1�0 Il�, ���,:�� 1—�-�'�� City: � ����1� Zip: �'��� Home Phone: Alternate Phone: Contractor Information: � Contractor: �' ` � Contact Person: ' � [t.,l� Address: ���� ������'(� �� �'� State Bond#: � ��O��J City: � r�� ��r Zip.�'��� Expiration Date: �'�C� - /���� Phone: �I, � �{'�D��V � f Alternate Phone: ❑ Insurance—Current: 1 Note: All Geothermal Systems will now require a Site Plan&Review by our Building Official. IS THIS GEOTHERMAL? ❑ Yes �No HEATING SYSTEMS Quantity: � Make: Model: Fuel: �G� Flue Size: Input BT[Js: O � Output BTUs: CFM: � COOLING SYSTEMS Quantity: � Make: ModeL• � � Tons: H.Power FIREPLACES ❑ Gas Factory Fireplace Brand Name: ❑ Wood Burning Fireplace ❑ Wood Stove Model No.: ❑ Wood Stove with Flue/Masonry V ENTILATION No. Kitchen Eachaust duct recirculating cfrn No. � Bath Exhaust(must have duct outsi e) cfin No. �_ Other Fans: Locations cfm FUEL STORAGE (Must be approved by Fire Marshall if proposing to abandon tank in place.) ❑ Installation ❑ Removal Fuel Oil: gallons ❑ Underground ❑Inside ❑Outside LP Gas: gallons Other: GAS LINE ONLY ❑ Outdoor Grill ❑ Other/List What&Where: 2 � . . ❑ Yes,this section applies The replacement of a Residential fixture or appliance that meets all three of the following requirements: 1. Does not require modification to electrical or gas service. 2. Has a total cost of$500.00 or less;excludine the cost of the fixture or appliance:and 3. Is improved,installed or replaced by the homeowner or licensed contractor. Skip next section,if this applies; Cost of Permit $ 15.00 State Surcharge $ 5.00 Mail-In Fee(If Applicable) $ 2.00 Total Permit Fee $ If above does not apply;follow guidelines below: 1. CONTRACT PRICE *is 1.25%of contract price with a(Minimum Fee of$50.00) ��� f'rj x.0125 $ � (contract price) (minimum$50.00) 2. STATE SURCHARGE � � �� � x.0005 $ � (contract price) 3. POSTAGE&HANDLING(Only on Mail-In Applications) $ 2.00 4. TOTAL PERMIT FEE(Add Lines 1-3 Above) $ �� 1� ■ * CONTRACT PRICE or JOB COST means the actual or estimated dollar amount charged for the permitted work including materials,labor,profit,and other fixed costs. It is the amount to be charged to the customer for the work done. If any material, equipment, labor or installations are furnished by the owner,tenant or any other party, the reasonable market value of such items must be added to the estimated cost or contract price for permit fee purposes. In the event that there is a dispute on the amount of the job cost, the City may request the submission of a signed copy of the actual contract. The undersigned hereby applies to the City for issuance of a Mechanical Permit, agrees to do all work in strict accordance with the ordinances of the City and the regulations of the State of Minnesota, and certifies that all statements made on this application are complete, true and correct. Applicant's Signature: �� � Date: l ��'�� 3 /� /�� DATE I CITY OF ORONO CALLED IN � INSPECTION NOTICE SCHEDULED � PERMIT NO.�n/��LY� COMPLETED ADDRESS �� �� ��-✓1 C,lS��,���- OWNER TELEPHONE NO. �� � / CONTRACTOR ,I./� 1�.�7�, -�r�"� D�� � DESCRIPTION ,oQ��,L� �� ly ❑ FOOTING ❑ DEMO-FINAL ❑ SEPTIC FINAL Q ❑ POURED WALL ❑ PLUMBING RI ❑ EXCAV/GRADING/FILLING y ❑ FOUNDATION WATERPROOF ❑ TREE REMOVAL Z ❑ RADON SLAB ❑ MECHA ❑ SITE INSPECTION Q ❑ FRAMING ❑ MECHANICAL FINAL ❑ PROGRESS � ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ COMPLAINT Q ❑ FINAL ❑ WATER HOOK-UP ❑ FOLLOW-UP _ ❑ AS BUILT-SURVEY ❑ SEWER HOOK-UP ❑ HARD COVER REMOVAL v ❑ DEMO-SITE ❑ S TIC INSTALL ❑ FOUNDATION/REMOVAL 2 OWNERICONTRACTOR TO MEET YOU:�ES_NO ✓� � COMMENTS: ���' a SCI��/Jl ss �- f e���f • dK - J I�t'�Gl ni_rl S '" �i` � - _ - , � - �F s i�.�� 4� � ��,� �e��� � as�. o � � Q -- Cdyl�-4�`ar z� l�C���Fy W� ��ic,. �,,,¢�t�� - 2 7/�t7i GK�5�4�[f_+ �a r ep��ttis� /� d,� W -}D ✓ �'1?6��< �6 �G ,��i_�e,�— � j d KSATISFACTORY:PROCEED ❑ PROJECT COMPLETE w ❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY 0 ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORE COYERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. p pHOTO TAKEN INSPECTOR WFLL REfURN ❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED ❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call for " spection��i�ance. (g52) 249-46�� Ow Contractor o . Inspector_ White Copyllnspector's File Canary CopyfSite Notiee /`� \ �T�'' DATE TIME✓ CITY OF ORONO ( �ALLED IN INSPECTION OTICE SCHEDULED � ', � � PERMIT NO. �d�% G COMPLETED ADDRESS � �� � �✓���S�tbl��� �-� OWNER TELEPHONE NO.� �3�(�(S'�'��I CONTRACTOR l 1,;�'�� �tr' �; DESCRIPTION Y / � C-!�1 �l c�- � ly ❑ FOOTING ❑ DEMO-FINAL ❑ SEPTIC FINAL Q ❑ POURED WALL ❑ PLUMBING RI ❑ EXCAV/GRADING/FILLING Q ❑ FOUNDATION WATERPROOF ❑ PLUMBING FINAL ❑ TREE REMOVAL Z ❑ RADON SLAB ❑ MECHANiCA�il ❑ SITE INSPECTION Q ❑ FRAMING MECHANICAL FINA` ❑ PROGRESS � ❑ INSULATION BURNER/- FIREPLACE ❑ COMPLAINT � ❑ FINAL ❑ WATER HOOK-UP ❑ FOLLOW-UP W ❑ AS BUILT-SURVEY ❑ S WER HOOK-UP ❑ HARD COVER REMOVAL _ J ❑ DEMO-SITE EPTIC INSTALL ❑ FOUNDATION/REMOVAL � OWNERICONTRACTOR TO MEET YOU: YES_NO � COMMENTS: ��— � � ��/l' �6�'ltr a ��r �� o ��/�� ` ���D C?��.c����r � 7`li�,. � � ec�� w G� � �t� a�t � o _ �, . W � Q , �' .�r�5 �c�a.�, cZt.� Ko� c it� -�I< . � '7'�s rti�o -6di� � /lU t -r.S,O �•� �l•�i 71t� W � 4.�" - ����.� � �/er�f� -t�� � o /n,5�c���... ts��s 6 a.� W ❑WORKSATISFACTOR . ROCE D ❑ PROJECTCOMPLEfE ��WORK 8 PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY W 0 ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORE CWERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑ pHOTO TAKEN INSPECTOR W{LL REfURN ❑CITATION ISSUED ❑STOP OfiDER POSTED.CALL INSPECTOR ❑ INSPECTION REQUIRED_CAIL TO ARRANGE ACCESS. Call for the next inspection 24 hours in advance. (g52) 249-4600 OwnerlContractor on site: Inspector. ��--- White Copyllnspector's File Canary CopylSite Notice �� ATE � CITY OF ORONO CALLED IN � ! INSPECTION TI SCHEDULED � PERMiT NO. � � COMPLETED �J�� ADDRESS�o^I� �''��►�2 �r' OWNER TELEPHONE NO.rI� �{� �d�� CONTRACTOR � DESCRIPTION ly ❑ FOOTING ❑ DEMO-FINAL ❑ SEPTIC FINAL Q ❑ POURED WALL ❑ PLUMBING RI ❑ EXCAV/GRADING/FILLING Q ❑ FOUNDATION WATERPROOF ❑ PLUMBING FINAL ❑ TREE REMOVAL Z ❑ RADON SLAB ❑ MECHANIC I ❑ SITE INSPECTION Q ❑ FRAMING ❑ MECHANICAL FINAL ❑ PROGRESS � ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ COMPLAINT Q ❑ FINAL ❑ WATER HOOK-UP ❑ FOLLOW-UP W ❑ AS BUILT-SURVEY ❑ SEWER HOOK-UP ❑ HARD COVER REMOVAL J ❑ DEMO-SITE ❑ SEPTIC INSTALL ❑ FOUNDATION/REMOVAL 2 OWNERICONTRACTOR TO MEET YOU:_YES_NO � COMMENTS: � `" G�45 �i�e l�GvKo- i5 �ivl��rrs — a —T . 0 ' �I! �r�r! /�,oLrG� �. � ° (f� �,vv��,`� b�t�c �.� �o✓ h�s�� �k�� W Q �� P.v��d� c nw4y c'�< <'c.�c,vlo�rc.� �'Prt� ZSc-'Q C /¢�G Cb'��L K s'i✓ /r-��� JOG d G tv�!/�f �- � ��S l�..is pt.�t �i�Lb�..-: ' �/F�) ��- ���G, � j I�{c C o� t.�a r� G'o.+� ��2-`c d ✓�e�t a- G i`... i•�t�/-er� W ❑WORKSATISFACTORY:PROCEED /�}-PROJECT COMPLEfE � CT�ARECT WORK 8 PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY W � ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORE COVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑ pHOTO TAKEN INSPECTOR WILL REfURN ❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED ❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Cali for the next inspection 2a hours in advance. (952� 249-460� Own ontractor on s' ��- Inspecto . White Copyllnspector's File Canary CopylSite Notice ,/� i �✓'w�� `� �e�`� DATE TIME " ,��CITY OF ORONO CALLED IN INSPECTIO OTI SCHEDULED � `!� PERMIT N� � COMPLETED ADDRESS�S�(I.6 �` OWNER TELEPHONE NO.���-' 3�'���� CONTRACTOR � � � DESCRIPTION � . N��W W ❑ FOOT�NG ❑ DEMO-FINAL ❑ SEPTIC FINAL Q ❑ POURED WALL ❑ PLUM NG RI ❑ EXCAV/GRADING/FILLING y ❑ FOUNDATION WATERPROOF ❑ MBING FINAL ❑ TREE REMOVAL � RADON SLAB MECHANICAL RI Z ❑ ❑ SITE INSPECTION Q ❑ MECHANICAL FINAL ❑ PROGRESS � -� ❑ WOOD BURNER/FIREPLACE ❑ COMPLAINT v FI L ❑ WATER HOOK-UP ❑ FOLLOW-UP _ ❑ AS BUILT-SURVEY ❑ SEWER HOOK-UP ❑ HARD COVER REMOVAL J ❑ DEMO-SITE ❑ IC INSTALL ❑ FOUNDATION/REMOVAL � OWNERICONTFiACTOR TO MEET YOU:�ES_NO c�., COMMENTS: �— � W � 4 � J O >. � O � W � Q � 2 W � W � J d W ❑WORKSATISFACTORY:PROCEED ❑PROJECT COMPLEfE � ❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY W O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOYERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. ❑pHOTOTAKEN INSPECTOR WILL REfURN ❑STOP OfiDER POSTED.CALL INSPECTOR �CITATION ISSUED ❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Cail forthe next inspection 24 hours' dvance. (g52) 249-4600 OwnerlContractor on site: Inspector. White Copyllnspector's Fil Canary CopylSite Notice